| NPI | 1477091817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CALEB CHEATHEAM President 512-968-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001373) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |